Epic
What tab in Epic shows you the account activity notes?
History tab
What does EOB stand for?
Explination of Benefits
What activity code would you use for pending patient information?
9011
What time zone is UW in?
Pacific
What adjustment code is used for HB contractual allowance?
4701
Which tab in Epic allows you to see if there is a pending adjustment or refund transaction to be approved?
TX Inquiry
What does COB stand for?
Coodination of Benefits
What activity code would you use for pending payment promised?
9018
What is our productivity goal?
45
What adjustment code is used for Medical Necessity?
4231
What does it mean, when going into the liablity bucket if the oustandind claim is highlight red instead of black?
There is a denial posted
What is a MVA claim?
Motor Vehicle Accident
What activity code would you use for a level 1 appeal sent?
9014
What is the name of the folder in Teams where you can locate the SRG, Write off, and coding matrix?
UW Refence Materials
What adjustment code would you use for exceeds timely filing?
4211
What tab in Epic shows you if the patient has more than one insurance on file?
Coverages
What does WOL stand for?
Wavier or Liablity
What activity code would you use for next responsible party?
9021
When sending an account to coding what is the document called that the SRG says to use to determine the billing indicator and what department of coding to send to?
The coding referral Matrix
What adjustment code is used for no auth or referral?
4101
What is the name/code of the two WQS we will be working out of in Epic?
101812-UMW-BCBS-Huron Follow up
101813-UMW-Commercial-Huron Follow up
What does SRG stand for?
Situation Response Guide
What activity code would you use for pending internal response?
9020
When notating an account in Epic, should we notate the claim number every time in our notes (if claim number is provided)?
Yes
What is the maximum amount we can adjust without having to have an approval?
$4,999.99